How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $251.19 Median $380.19 Typical High $537.03 | Facility | None | $251.19 | $380.19 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $251.19 Typical High $309.03 | Professional | None | $213.80 | $251.19 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $1,348.96 | Facility | None | $295.12 | $295.12 | $1,348.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $269.15 Typical High $537.03 | Professional | None | $169.82 | $269.15 | $537.03 |
BCBS Kansas City Setting Facility Modifier None Typical Low $562.34 Median $575.44 Typical High $1,096.48 | Facility | None | $562.34 | $575.44 | $1,096.48 |
BCBS Kansas City Setting Professional Modifier None Typical Low $204.17 Median $398.11 Typical High $676.08 | Professional | None | $204.17 | $398.11 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $660.69 Typical High $1,698.24 | Facility | None | $281.84 | $660.69 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $331.13 Typical High $512.86 | Professional | None | $141.25 | $331.13 | $512.86 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $512.86 Typical High $1,412.54 | Facility | None | $263.03 | $512.86 | $1,412.54 |
Medica Setting Professional Modifier None Typical Low $147.91 Median $323.59 Typical High $1,479.11 | Professional | None | $147.91 | $323.59 | $1,479.11 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
United Setting Professional Modifier None Typical Low $123.03 Median $177.83 Typical High $398.11 | Professional | None | $123.03 | $177.83 | $398.11 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $125.89 Typical High $169.82 | Professional | 52 · Reduced service | $125.89 | $125.89 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $67.61 | Professional | 53 · Discontinued | $50.12 | $50.12 | $67.61 |
Where Missouri sits
The same service costs 3.8 times more in Alaska than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Missouri· 29th of 51
$288
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.